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Family Practice Notebook Updates 2016

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2501. benign rolandic epilepsy of childhood

Children's Hospitals Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains (...) benign rolandic epilepsy of childhood benign rolandic epilepsy of childhood - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search benign rolandic epilepsy of childhood Rolandic epilepsy typically occurs in children aged seven to ten, but may start as young as three years of age, and is twice as common in boys speech dyspraxia and language impairments are frequent comorbidities predating the onset of seizures. There is a six

2010 GP Notebook

2502. Garrod's pads

Garrod's pads Garrod's pads - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Garrod's pads Knuckle pads is the lay term for a discrete hyperkeratosis of the dorsal aspect of interphalangeal joints in the hands. The area is fibrosed and thickened. The condition is occasionally familial but more commonly it is caused by trauma. There have been reports of an association with Dupytren's contracture. Differential diagnoses (...) include: warts occupational callosities granuloma annulare All forms of treatment have met with little success. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein

2010 GP Notebook

2503. Ebstein anomaly

Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence. GPnotebook (...) Ebstein anomaly Ebstein anomaly - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Ebstein anomaly Ebstein's anomaly is a rare congenital cardiac disease initially described by Wilhelm Ebstein in 1866 In Ebstein's anomaly the tricuspid valve is downwardly displaced into the right ventricle. The posterior and septal leaflets are plastered down into the right ventricular wall. Above the attachment of the valve the ventricle

2010 GP Notebook

2504. Ledderhose disease

manifestations. Recognition of this clinical type is essential, as it carries a more serious prognosis and warrants aggressive follow-up and treatment...(1,3)" Reference: (1) (2) (3) (4) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any (...) Ledderhose disease Ledderhose disease - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Ledderhose disease Dupuytren's contracture is a visible and palpable palmar skin changes (pits, nodules) caused by thickening of the palmar fascia with cord like structures extending from the palm into the digits resulting in permanent flexion and/or adduction contracture of the metacarpo-phalangeal joint. It may also progress to involve

2010 GP Notebook

2505. triglyceridaemia

pancreatitis (1). Reference: (1) British Heart Foundation Factfile (June 2008). Triglycerides. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited (...) triglyceridaemia triglyceridaemia - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search triglyceridaemia Hypertriglyceridaemia is most commonly due to a secondary cause. secondary causes of raised TG include: high alcohol intake, renal disease, drugs (retinoids, cyclosporin, some beta blockers, oestrogens, corticosteroids, protease inhibitors), bulaemia, pregnancy and, rarely, immunoglobulin excess possibly the most common

2010 GP Notebook

2506. alopecia universalis

infiltrates around the follicles, and a high prevalence of autoantibodies and abnormalities on the titres of circulating T lymphocytes (1). Children and adolescents are affected more commonly with a peak age of onset between 15 and 29 years of age. In around 25% of the patients, a positive family history can be found (1). Reference: 1 Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed (...) alopecia universalis alopecia universalis - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search alopecia universalis Alopecia areata Alopecia areata is a relatively common condition which may occur at any age in either sex. The prevalence of Alopecia areata in the UK population is around 0.15%. It is a non-scaring condition which can affect: the hair follicles - damage is not permanent the nails - 10-30% of patients (1

2010 GP Notebook

2507. alopecia totalis

, and a high prevalence of autoantibodies and abnormalities on the titres of circulating T lymphocytes (1). Children and adolescents are affected more commonly with a peak age of onset between 15 and 29 years of age. In around 25% of the patients, a positive family history can be found (1). Reference: 1 Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should (...) alopecia totalis alopecia totalis - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search alopecia totalis Alopecia areata Alopecia areata is a relatively common condition which may occur at any age in either sex. The prevalence of Alopecia areata in the UK population is around 0.15%. It is a non-scaring condition which can affect: the hair follicles - damage is not permanent the nails - 10-30% of patients (1) Alopecia areata can

2010 GP Notebook

2508. forceps deliveries

forceps deliveries forceps deliveries - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search forceps deliveries Forceps may be used to manually deliver a baby when complications such as an obstructed or protracted labour may threaten the pregnancy. The obstetric forceps were invented in England in the 17th century, but their use was kept a secret by the Chamberlen family for over a century. A novel design of forceps (...) , but as a brief summary as to how and why forceps deliveries may be undertaken. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd®

2010 GP Notebook

2509. antitussives

antitussives antitussives - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search antitussives Antitussives are agents that are effective against cough. Although the cough reflex is useful, suppression of cough for some part of the day may give symptomatic relief to patient and family. Pholcodeine and codeine are effective, but there is a small risk of addiction. Dextromethorphan is neither addictive nor analgesic (...) but is not available on an NHS prescription. Combined with diphenhydramine it is available as Benylin Dry Cough. Diphenhydramine (Bronylin) is a cough suppressant; its antihistamine effect is sedative and decongestive; its anticholinergic effect dries up secretions Opiates, methadone and diamorphine linctus are powerful cough suppressants with obvious addictive properties. They are potentiated by adding an antihistamine. Links: General Practice Notebook General Practice Notebook The information provided herein

2010 GP Notebook

2510. Huntington's chorea

Huntington's chorea Huntington's chorea - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Huntington's chorea Huntington's chorea is a hereditary disease that is marked by chronic, progressive chorea and marked mental deterioration in middle life, usually in the fourth decade. The disease has a prevalence of about 1 in 20,000 in the UK. It is inherited as an autosomal dominant trait with full penetrance. The family history (...) of the disease is often concealed. The gene responsible for this condition resides on chromosome 4. Predictive DNA testing of at risk relatives of sufferers reduces anxiety, whatever the test outcome. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions

2010 GP Notebook

2511. Huntington's disease

Huntington's disease Huntington's disease - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Huntington's disease Huntington's chorea is a hereditary disease that is marked by chronic, progressive chorea and marked mental deterioration in middle life, usually in the fourth decade. The disease has a prevalence of about 1 in 20,000 in the UK. It is inherited as an autosomal dominant trait with full penetrance. The family (...) history of the disease is often concealed. The gene responsible for this condition resides on chromosome 4. Predictive DNA testing of at risk relatives of sufferers reduces anxiety, whatever the test outcome. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016

2010 GP Notebook

2512. IHD and combined oral contraceptives

Bulletin (2000); 38 (1): 1-5. MeReC Bulletin 2006;17(2):1-9. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives (...) IHD and combined oral contraceptives IHD and combined oral contraceptives - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search IHD and combined oral contraceptives the current evidence suggests that there is no detectable increase in the risk of myocardial infarction with either second- or third-generation pills in women with no additional risk factors a Drug and Therapeutics bulletin review (1) suggests that the risk

2010 GP Notebook

2513. COC and cardiovascular disease (CVD) risk

) Reference: Drug and Therapeutics Bulletin (2000); 38 (1): 1-5. MeReC Bulletin 2006;17(2):1-9. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited (...) COC and cardiovascular disease (CVD) risk COC and cardiovascular disease (CVD) risk - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search COC and cardiovascular disease (CVD) risk the current evidence suggests that there is no detectable increase in the risk of myocardial infarction with either second- or third-generation pills in women with no additional risk factors a Drug and Therapeutics bulletin review (1) suggests

2010 GP Notebook

2514. CVA and oral contraceptives

); 38 (1): 1-5. MeReC Bulletin 2006;17(2):1-9. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from (...) CVA and oral contraceptives CVA and oral contraceptives - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search CVA and oral contraceptives the current evidence suggests that there is no detectable increase in the risk of myocardial infarction with either second- or third-generation pills in women with no additional risk factors a Drug and Therapeutics bulletin review (1) suggests that the risk of myocardial infarction in women

2010 GP Notebook

2515. peritoneal dialysis

as the first choice of treatment modality for: children 2 years old or younger people with residual renal function adults without significant associated comorbidities Reference: 1) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any (...) peritoneal dialysis peritoneal dialysis - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search peritoneal dialysis At any one time in the UK, 400-800 people per million of the population need renal replacement in the form of dialysis prevalence of dialysis in the UK is highly age dependent - for adults aged 70-80 years it is between 1600 and 2000 people per million for about 40% of adults on dialysis a kidney transplant

2010 GP Notebook

2516. Ebstein's anomaly

: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence (...) Ebstein's anomaly Ebstein's anomaly - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Ebstein's anomaly Ebstein's anomaly is a rare congenital cardiac disease initially described by Wilhelm Ebstein in 1866 In Ebstein's anomaly the tricuspid valve is downwardly displaced into the right ventricle. The posterior and septal leaflets are plastered down into the right ventricular wall. Above the attachment of the valve

2010 GP Notebook

2517. classical haemophilia

in preferential expression of the abnormal X chromosome. Carriers with low normal levels of factor VIII - 40-50% - may show symptoms under severe haemostatic stress e.g. after major trauma. The condition 'breeds' true so that in families all affected members have severe disease or all have mild disease. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should (...) classical haemophilia classical haemophilia - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search classical haemophilia Haemophilia A results from a congenital deficiency of factor VIII (VIII:C) coagulant activity. It is an X-linked recessive disorder affecting 1 in 10 000 males. Heterozygous females act as carriers but may be symptomatic when lyonisation - random inactivation of one of the X chromosomes in each cell - results

2010 GP Notebook

2518. Dupuytren's diathesis

disease, and ectopic manifestations. Recognition of this clinical type is essential, as it carries a more serious prognosis and warrants aggressive follow-up and treatment...(1,3)" Reference: (1) (2) (3) (4) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 (...) Dupuytren's diathesis Dupuytren's diathesis - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Dupuytren's diathesis Dupuytren's contracture is a visible and palpable palmar skin changes (pits, nodules) caused by thickening of the palmar fascia with cord like structures extending from the palm into the digits resulting in permanent flexion and/or adduction contracture of the metacarpo-phalangeal joint. It may also progress

2010 GP Notebook

2519. jaundice in neonates

Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your (...) jaundice in neonates jaundice in neonates - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search jaundice in neonates Jaundice is clinically detectable in the newborn when the serum bilirubin levels are greater than 85 micromoles per litre. This occurs in approximately 60% of term infants and 80% of preterm infants in the first week of life. About 10% of breastfed babies are still jaundiced at 1 month For most babies, jaundice

2010 GP Notebook

2520. constipation in a child

constipation in a child constipation in a child - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search constipation in a child Constipation is common in childhood prevalent in around 5-30% of the child population, depending on the criteria used for diagnosis symptoms become chronic in more than one third of patients and constipation is a common reason for referral to secondary care Constipation in children can be divided (...) , an unhappy, angry or irritable mood and general malaise. Note that there is a high degree of normal variation in the frequency of bowel habit. It is essential to enquire of the parents as to how regular they are. Reference: 1) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions

2010 GP Notebook

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